Gandjour A
Institute of Health Economics and Clinical Epidemiology, University of Cologne, Cologne, Germany.
Manag Care Interface. 2000 Sep;13(9):62-6, 70.
The author analyzed secondary data from Tennessee hospitals (1991-1995) to determine what effect, if any, managed health care plans had on hospital staffing. The results of the study, which incorporated multiple regression analysis, revealed an increase in the number of administrative hospital employees on average, with additional interesting effects on the skill-mix of nursing staff. The author believes that, overall, the increase in the number of registered nurses, together with the decrease in the number of licensed practical nurses, does not confirm notions that managed care would lead to a decrease in hospital skill-mix. Since a higher nursing skill-mix is associated with a lower inpatient mortality, managed care may contribute to an improvement in outcomes' quality of hospitals.
作者分析了田纳西州医院1991年至1995年的二手数据，以确定管理式医疗保健计划对医院人员配备是否有影响（若有影响则确定影响如何）。该研究结果采用了多元回归分析，结果显示，医院行政人员的数量平均有所增加，对护理人员的技能组合也产生了其他有趣的影响。作者认为，总体而言，注册护士数量的增加以及执业护士数量的减少，并不支持管理式医疗会导致医院技能组合下降的观点。由于更高的护理技能组合与更低的住院死亡率相关，管理式医疗可能有助于提高医院的治疗效果质量。
